Kbsolutions And Behavioral Support Services
Nurse Practitioner, Family in Conyers, GA. Organization (NPI-2).
NPI number1790397495
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1790397495
- Entity type
- Organization (NPI-2)
- Legal business name
- Kbsolutions And Behavioral Support Services
- Organization subpart
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Jan 26, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Kbs (Other Name)
Practice location
1775 Parker Rd Se Ste 210Conyers, GA 30094-6654
Phone 770-376-7927
Mailing address
950 Eagles Landing Pkwy Ste 146Stockbridge, GA 30281-7343
Authorized official
Laquanda T Spince
Owner/Nurse Practitioner
7703767927
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